I kut ah thisen kal a tlahniam ang tih i hria em? He (Subclavian Artery Stenosis) chungchang hi han sawi ila!

I kut i hman emaw, thil rit tak i chawi emaw hian a châng chuan i chau, i na, i rilru a hah em? A nih loh leh, kut pakhat chu a dang aiin a vawt zawkin a hria em? Chûngte chu i kut aṭanga thisen petu thisen kalna kawng lian tak a zim tih chhinchhiahna a ni thei. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a, chu chu `(Subclavian Artery Stenosis)` tih a ni.

``(Subclavian Artery Stenosis)`` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, `(Subclavian Artery Stenosis)` chu i kut atanga thisen petu thisen kalna kawng lian (`(Subclavian Artery)` kan tih) a narrowing, chu chu blockage ang chi condition a ni. Tui pipe chhungah bawlhhlawh a lo awm khawm a, a zim zauh zauh ang maiin han mitthla teh. Tichuan tui tlan chakna chu a tlahniam ta a ni lawm ni? Chutiang chu he thil hi a ni. A tam zawkah chuan he thisen kalna kawng chhungah hian thau (hei hi `(plaque)` kan ti) a awm hian he narrowing hi a thleng thin. Mahse chhan dang pawh a awm thei bawk. Kawngpuiah `(speed bump)` ang mai a ni a, chu chuan thisen kal a ti hniam deuh a ni.

Peripheral Artery Disease (PAD) tih natna pakhat i hre tawh mai thei a, chu chuan kea thisen kalna kawng a ti tawi a ni. Hetiang dinhmun hi kut chhunga thisen kalna kawng hrang hranga awm thin hi Subclavian Artery Stenosis an ti a.

Mi tam takin he natna hi nei mahse symptom an nei lo. Chu chu kan taksa thisen kalna kawng dang zawng zawng hian mak tak maiin hna an thawk tha em em vang a ni. Thisen kalna kawng khat a inkhar chuan thisen kalna kawng dangte chuan chu hmun ruak chu luah khat turin an bei thin. Chu chu engtin emaw tak kut mamawh thisen chu supply an tum tihna a ni.

A tam zawkah chuan he `(Subclavian Artery Stenosis)` natna hi kut veilam thisen petu artery-ah a awm thin . A chhan chu, veilamah `(Subclavian Artery)` hi kan thinlung atanga thisen kalna lian ber `(Aorta)` atanga inthen nghal a ni. Chuvang chuan a chungchangah harsatna a awm theihna chance a sang zawk a ni. Dinglama mi hi thisen kalna kawng dang atanga lo chhuak a ni. Mahse a tlem hle a, he natna hi kut veilam leh kut dinglam pahnih ah hmuh tur a awm.

Hetiang dinhmun hi engtiang chiahin nge a awm?

America ang ram statistics i en chuan a tlangpuiin 2% leh 7% inkar hian he natna hi an nei thin. Mahse, ``Peripheral Vascular Disease'' (thisen kalna kawng tawi) nei tawh zingah chuan he zat hi 19% vel a ni. Hetiang dinhmun hi hmeichhiaah a tam zawk niin an sawi bawk .

`(Subclavian Artery Stenosis)` natna lan chhuah dan chu engte nge ni?

Kan sawi tawh ang khan mi zawng zawngin symptom an nei vek dawn lo. Mahse an tih chuan hetiang hian an lang mai thei:

• Kut natna hman laiin taksa ruh (muscle cramps) a awm. Thil rit tak i chawi emaw, i kut hmanga thil i tih emaw hian i kut ruhte chu a nghet a, a hrual ang maiin i hria ang tih han ngaihtuah teh.
• Kut natna hman laiin kut na emaw, a khauh emaw.
• Kut natna neia rilru hahna emaw, hriatna hloh emaw (hei hi ``Paresthesia'' kan ti). Kut chu a bengchheng mai mai ang mai a ni.
• Luak chhuak - Hei hi thil awm lo tak a ni.
• Fainting - Hei pawh hi a tlem hle.
• Vertigo - Hei hi i chhehvela inher chhuak ang maia inhriatna a ni. Hei pawh hi a tlem hle.

Mi tam tak chuan symptoms an lantir lo a, a chhan chu arm-a thisen kal chu thisen kalna kawng dangin a pe chhuak a ni. Thisen kalna kawng 50% vel a tihtlem hnuah symptoms a lang tan thin . A châng chuan, ``Steal Syndrome'' an tih hian symptom dang a thlen thei bawk. Chumi chungchang chu nakinah kan sawi leh ang.

`(Subclavian Artery Stenosis)` awm chhante chu engte nge ni?

Hetiang natna thlentu ber chu ``Atherosclerosis'' a ni. Chu chu, thau (cholesterol ang chi) chu thisen kalna kawngah a awm a, zawi zawiin thisen kalna kawng chu a ti tawi a ni . Tui pipe-a moss a lo thang ang bawkin. Hei hi a chhan tam ber a ni.

Chumi piah lamah chuan chhan dang engemaw zat a awm thei bawk:

• Vasculitis: Thisen kalna kawnga lo awm, inflammatory condition a ni.
• Radiation: I rilru chhunga cancer ang chi thil pakhat radiation treatment i neih tawh chuan.
• Thoracic Outlet Syndrome: Thisen kalna kawng leh nerve, rilru chunglam atanga kawr leh kut thlenga kalte compression.
• (Takayasu’s Arteritis): Inflammatory condition a ni a, thisen kalna kawng lian tak tak a nghawng a, a bik takin hmeichhe naupangte zingah a nghawng a ni.
• Fibromuscular Dysplasia: Thisen kalna kawng bang a muscle leh connective tissue te a lo thang dik loh avangin thisen kalna kawng a tawi.
• Neurofibromatosis: Genetic condition a ni a, nervous system-ah tumor a lo awm a.

Hei hi eng risk factors nge awm? Tuin nge fimkhur zawk tur?

Mi thenkhat chuan ``(Subclavian Artery Stenosis)`` an vei tam zawk. Heng risk factors te hi i tan a hman theih em tih en rawh:

• Kum 50-60 inkar a nih.
• Thisen sang (Hypertension) nei. Hei hi "high blood pressure" kan tih chu a ni.
• Zunthlum (Diabetes Mellitus / Diabetes) nei. "Sugar disease" an ti bawk a, a dik em?
• Thisena cholesterol level a sang.
• Saturated fat leh trans fat tamna ei tur (butter, margarine, fatty foods, fast food ang chi) ei .
• Zuk leh hmuam thil hman (zuk leh hmuam, betel nut ei ang chi).
• Hmun khata thut rei lutuk leh exercise lak loh.
• Body mass index (BMI) 25 aia tam a nih chuan i san zawng aiin i thau lutuk tihna a ni.
• Peripheral artery natna (PAD) nei a ni.
• Chutiang dinhmun (Takayasu’s Arteritis) nei.

`(Subclavian Artery Stenosis)` avanga harsatna awm thei te chu engte nge ni?

He natna hi enkawl that loh emaw, control loh emaw a nih chuan harsatna engemaw zat a awm thei a ni.

• (Subclavian Steal Syndrome) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.Hei hi thil danglam bik deuh a ni. Heta thil thleng chu kut lama thisen kal a tihtlem avangin thluaka thisen kal ṭhenkhat chu kut hnathawh laiin "rukru takin" kutah an hruai lut ṭhin. Tichuan thluaka thisen kal zat a tlahniam a, chu chuan luak chhuak leh mit sen ang chi thil a thlen thei a ni.
• Coronary Steal Syndrome: Hei hi a hmasa nen a inang a, mahse hetah hian thinlunga thisen kal thenkhat chu kut lam pan a ni. Hei hi a tlem hle a, a bik takin bypass surgery nei tawhte tan chuan a awm lo hle.
• Thisen kalna kawng khata awm tawh thau (fatty plaque) chu a chhe vek a, kut zungtang bula thisen kalna kawng te tak teah a tang ta a ni. Hei hian kut zungtang-a thisen kal chu a titawp thei a, a na leh a ulcer a siam thei a ni.
• Thinlung, thluak, kut lama thisen kal tlem.
• (TIA - Transient Ischemic Attack): Hei hi mini `(stroke)` ang a ni. Hun rei lote chhunga thluaka thisen kal tlem, tawng thei lo, leh ke ruh hloh te ang chi symptoms te hi a lo thleng leh chhuak thin. Mahse, hei hi `(stroke)` lian tak hmahruaitu a ni thei.

Engtin nge doctor-te hian he natna (Subclavian Artery Stenosis) hi an hriat theih?

A chunga kan sawi tak symptoms i neih chuan Doctor i hmuh hunah a enfiah hmasa phawt ang che. Hei hi ``physical exam'' an ti a.

• Chutah chuan i pulse leh thisen sang an enfiah ang .
• Kut pakhat chu a dang aiin a lum zawk em tih i check mai thei.
• Kut pahnihah hliam a awm em tih enfiah la, a dam lo em tih enfiah bawk ang che (thisen kal that loh avangin hliam hi a dam rei zawk).
• Kut pakhata pulse a chak lo em tih pawh i check thei bawk.

Thil danglam tak chu, checkup pangngai ang lo takin, doctor chuan i kut pahniha thisen sang a teh ang . Hei hi kut pahnih a `(pressure)` tehkhin nan tih a ni. Kut pakhata `(systolic)` pressure (a chung lam number) chu kut dang aiin millimeter 10-15 vel `(mmHg)` vel a sang a nih chuan `(Subclavian Artery Stenosis)` tih natna chhinchhiahna a ni thei. Thisen kalna hrisel atanga thisen dawngtu kut ah chuan `(pressure)` a sang zawk.

Tin, i doctor-in i kawr chhunga i thisen kalna kawngte chu stethoscope hmanga an ngaihthlak laiin "swoosh" ri ("bruit" tia koh) a hriat chuan hei hi thisen kalna kawng a tawi tihna a ni thei bawk.

A tlem berah chuan thil dang avanga he natna vei te hian chutiang natna kaihhnawih nena inzawm symptoms an lantir thei bawk.

Eng test dang nge tih chian a nih?

I doctor chuan Subclavian Artery Stenosis i vei nia a rinhlelh chuan ultrasound a order hmasa thei ang. Hei hian thisen kal chak dan leh thisen kalna kawngte dinhmun a enfiah thei a ni.

Tin, thisen kalna kawng en nan a hnuaia test te hi tih theih a ni bawk.

• (CT Angiogram - Computed Tomography Angiogram): Hei hi CT scan chi khat bik a ni. Thisen kalna kawng chiang taka hmuh theih nan dye chi khat an inject thin.
• (MRA - Magnetic Resonance Angiogram): Hei hi MRI scan ang a ni a, mahse thisen kalna kawng enfiahna atana specialized a ni.
• Hmanlai (Invasive) Angiogram hmanga tehna:Chutah chuan thisen kalna kawng khatah tube te tak te an kalpui a, dye an inject a, ``(X-ray)'' an la a. A chang chuan ``(Digital Subtraction)'' tih method an hmang thin. Hei hian ruh ang chi thil a paih chhuak a, thisen kalna kawngte chauh chiang taka hmuh theih a ni.

`(Subclavian Artery Stenosis)` hi eng enkawlna nge ni?

Enkawlna chu symptom i neih leh neih loh leh i natna nasat danah a innghat a ni.

Symptom nei te hian hetiang hian enkawlna an mamawh mai thei:

• (Aspirin): Thisen zam a ti tlem a, thisen a ti thim thei bawk.
• Cholesterol tihhniamna damdawi: Thisen kalna kawnga thau awm zat tihtlem.
• Thisen sang damdawi .
• A chhan chu `(Vasculitis)` a nih chuan damdawi a ngai a ni.
• Angioplasty: Hetah hian balloon ang chi thil te tak te chu thisen kalna kawngkhar khar chhungah dahin, thisen kalna kawng zau zawka siam turin inflated a ni. Vawi tam tak chu a zim leh tawh loh nan stent (mesh ang chi hmanrua te tak te) an dah thin.
• Bypass Surgery: Hei hi tih dan tur awm lo tak a ni. Thisen kalna kawng khar chu bypass a, thisen kalna kawng dang (ke atanga lak pawh a ni thei) emaw, thil siam chhuah emaw hmanga kawng thar siam a ni.

Symptoms nei lo mah la, i doctor chuan i thisen kalna kawng (atherosclerosis)-a thau awmte chu a zawng ngei ang. Hetiang dinhmun hian taksa chhung khawi hmunah pawh thisen kalna kawng a nghawng thei a, ``stroke'' emaw ``heart attack'' emaw a thlen thei bawk.Chuvangin, i doctor chuan hetiang hian a hrilh mai thei che a ni:

• Ni khatah minute 30 tal taksa chakna nei la, kar khat chhunga ni tam zawkah. (Kea kal, tlan, exercise tih ang chi)
• I tan taksa rihna hrisel tak vawng reng rawh.
• Zuk leh hmuam thil siam hi pumpelh vek rawh.
• Saturated fats leh trans fats tlem zawk ei tur (thlai, thei, legumes, leh fiber tam zawk ei rawh).

Enkawlna hian harsatna emaw, side effect emaw a nei em?

Damdawi eng pawh hian side effect tenau te a nei thei. I damdawi ei laiin harsatna, a awm reng thei side effect i neih chuan i doctor nen inbia ang che.

A châng chuan, surgery emaw, ``Angioplasty`` ang chi procedure emaw hian hetiang ang harsatna hi a thlen thei a ni:

• Thisen chhuak.
• Thisen kalna kawng a chhiat.
• Thisen a chhuak thin.
• Stent dah chu a zau tha lo emaw, a awmna tur dik takah a awm lo emaw a ni.
• Stent dah chu a chhe vek.
• Thisen kalna kawng chu a block leh ta.
• A tlem berah chuan angioplasty emaw surgery emaw hnuah stroke a awm thei.

Heng enkawlna atanga dam leh tur hian eng chen nge a mamawh?

Angioplasty hnuah ni khat vel chawlh hahdam a ngai dawn a ni. Kar khat chhungin lirthei i khalh thei tawh ang a, hna i thawk thei tawh ang. Mahse, Bypass Surgery neih chuan a dam rei zawk dawn a ni. I doctor chuan i dinhmun a zirin he thil hi a hrilh belh ang che.

`(Subclavian Artery Stenosis)` ka neih chuan eng nge thleng ang? Nakin hun chu eng nge ni?

Symptoms i neih chuan enkawlna hian kawng thui tak a zawh thei a, i thisen kalna kawng a hawng thei a, i symptoms a ti reh thei bawk. Symptoms i neih loh chuan enkawl a ngai lo mai thei.

Mahse, symptom i nei emaw nei lo emaw, Subclavian Artery Stenosis hi i taksa atanga warning sign a ni . A tam zawkah chuan Atherosclerosis (thisen chhunga thau awm) vang a ni. Thisen kalna kawng khat a inkhar chuan thisen kalna kawng dang a nghawng thei bawk. Chuvangin i doctor chuan cardiovascular disease i neih theihna tur risk factors te control turin a hrilh ang che .

Hei hian a huam tel a ni:

• Zuk leh hmuam i hman chuan titawp vek rawh.
• Thisen sang control dan tur.
• Cholesterol sang control dan tur.
• Zunthlum control emaw ven emaw.

Angioplasty hian 95% aia tam natna lanchhuahna a tiziaawm thei a ni. Angioplasty an tih hnu kum nga hnuah pawh a hmaa thisen kalna kawng khar tawh zinga 90% vel chu a inhawng reng a ni. Open surgery hian result rei zawk a pe thei bawk.

I thisen kalna kawng chu a block vek a nih chuan a result chu a hlawhtling lo deuh mai thei.

Subclavian Artery Stenosis hi a veng thei ang em?

Ni e, a tam zawkah chuan thisen kalna kawnga thau awm (atherosclerosis) te hi a veng thei a ni. I tih tur chu i nunphungah inthlak danglamna engemaw zat siam mai a ni.

• Taksa chak taka awm.
• Ei leh in hrisel (oil, sugar, chi tlem, thlai leh thei tam zawk) zawm .
• Meizial zuk loh tur.
• Rihna hrisel tak vawn reng.

Damdawi lam harsatna i neih tawh zawng zawng pawh uluk taka enkawl a pawimawh bawk a, chungte chu:

• Cholesterol sang tak a ni.
• Thisen sang (Hypertension).
• Zunthlum.

Engtin nge ka in enkawl ang?

Subclavian Artery Stenosis venna atana nunphung tihdanglam tlemte i tih theihte hian enkawl hnuah pawh a pui ang che. Thiltih hrisel tak takte hian he natna hi a lo awm leh tawh loh nan a pui thei a ni. Doctor-in i artery-ah stent a dah a nih chuan, a khar leh loh nan aspirin leh clopidogrel ang chi damdawi i ei chhunzawm a ngai mai thei.

Engtikah nge Doctor ka hmuh ang?

Enkawl zawhah kum hnih hmasa berah thla ruk danah vel doctor pan turin an ti ang che. Tichuan kum khatah vawi khat vel. Hei hi i dinhmun leh i enkawlna hmun a zirin a danglam thei. Chuvangin, i doctor thupek ang chiah kha zawm rawh.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Subclavian Artery Stenosis vei te hian taksa chhunga thisen kalna kawng dangah thau an nei thei bawk. Hei hian i thinlung (the coronary arteries)-a thisen pe chhuaktu arteries te pawh a huam tel a ni. Heng arteries te hi a block a nih chuan heart attack i nei thei a ni. Heart attack symptoms i neih chuan , doctor tanpuina zawng nghal rawh.

Heart attack chhinchhiahna hrang hrangte chu:

• Chest na emaw tightness emaw (he natna hi kut, kawr, emaw jaw thlengin a radiate thei).
• Thâwk harsa.
• Luak chhuak, lu hlim hmel.
• I thinlung chu a na hle ang tih hriatna.
• Pum natna, luak chhuak, luak chhuak.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah hetiang zawhna hi i zawt thei ang:

• Enkawlna ka mamawh em?
• Ka dinhmun enkawlna tha ber chu eng nge ni?
• Kum khatah heng damdawi chi hrang hrang hi engzat nge i damdawi in/clinic-ah i tih thin?
• Thinlung hriselna atana min pui theitu hnenah min refer thei ang em? (e.g., ei leh in lama mithiam) .

`(Subclavian Artery Stenosis)` hi a hlauhawm em?

Ni e, hei hi a hlauhawm thei hle a, a bik takin ``Steal Syndrome'' tih natna a thlen a, chu chu thluak emaw thinlung emaw-ah thisen tlem zawk pump luh a ni a, chu ai chuan kut lam pan a ni tihna a ni. Heng harsatnate laka invenna atana i tih theih tha ber chu i doctor-in ei leh in hrisel leh exercise routine chungchanga a thurawn zawm hi a ni.

Subclavian Artery Stenosis i vei tih i hriat chuan chu thisen kalna kawng chu i hriat hmasak ber a ni mai thei. Mahse, hei hi i taksa atanga thuchah angin ngai rawh: Atherosclerosis i nei a ni. Thisen kalna kawng khata a awm chuan a dangah pawh a awm thei bawk. Chuvangin, i thinlung leh thisen kalna kawng hrisel taka awm theih nan tunah hian hma la rawh.

A tawp berah chuan take-home message

Okay, chuti a nih chuan tunah chuan kan sawi tawh, ``(Subclavian Artery Stenosis)`` tih hi i hrethiam zawk tawh ang. Don’t worry , a detect hmasa a, a enkawl tha a nih chuan i tha thei.

A pawimawh ber chu hei hi kan nunphung nen a inzawm fo a ni. Chu chu ei leh in hrisel ei, exercise neih fo , meizuk loh, leh zunthlum, thisen sang, leh cholesterol ang chi dinhmunte thunun tihna a ni.

• I kutah natna, rilru hahna emaw, hahna emaw i neih fo chuan ngaihthah suh la, doctor thurawn la rawh.
• Doctor enkawl dan leh thupek dik tak zawm rawh.
• Hei hi kut lama harsatna mai ni lovin, i thinlung hriselna zawng zawng ngaihven a ngai tih hriattirna a ni.

I taksa thu ngaithla la, hrisel taka awm tum rawh!

` Subclavian Artery Stenosis, Kut Natna, Kut Natna, Thisen kalna kawng tawi, Angioplasty, Stent, Atherosclerosis